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目的探讨应用综合治疗法治疗儿童弱视的疗效。方法对390例(688眼)弱视患儿分别从患儿发病年龄、弱视程度及坚持治疗时间的长短三方面评估它们与疗效之间的关系。结果基本治愈率为63.37%,总有效率为99.56%。其3～5岁年龄组基本治愈率为70.20%,在各年龄组中基本治愈率最高,9～12岁年龄组基本治愈率最低为48.11%,与其它各年龄组相比均有显著性差异(P<0.05)。轻度弱视基本治愈率75.00%,中度弱视基本治愈率67.06%,重度弱视基本治愈率40.52%,轻度及中度弱视组的基本治愈率与重度弱视基本治愈率均差异显著(P<0.05)。坚持治疗3～6个月者基本治愈率为37.80%,坚持治疗7～9个月者基本治愈率为66.41%,治疗坚持10～12个月者基本治愈率为71.62%,坚持治疗7～9月组及10~12月组与坚持治疗3～6个月者存在显著性差异(P<0.05)。结论综合治疗法治疗儿童弱视,疗效是肯定的。治疗年龄越小,弱视程度越轻,治疗时间越长,疗效越好。提示早期发现,坚持细致化、合理化的综合治疗,是弱视治疗的关键。
Objective To explore the effect of comprehensive treatment on children with amblyopia. Methods A total of 390 children (688 eyes) with amblyopia were evaluated on the relationship between their efficacy and the onset age, the degree of amblyopia and the duration of treatment. Results The basic cure rate was 63.37%, the total effective rate was 99.56%. The basic cure rate was 70.20% in 3 ~ 5 years old group, and the basic cure rate was the highest in all age groups. The lowest cure rate was 48.11% in 9 ~ 12 years old group, which was significantly different from other age groups (P <0.05). The basic cure rate of mild amblyopia was 75.00%, the basic cure rate of moderate amblyopia was 67.06%, the basic cure rate of severe amblyopia was 40.52%, the basic cure rate of mild and moderate amblyopia group was significantly different from that of severe amblyopia (P <0.05 ). Insist on the treatment of 3 to 6 months, the basic cure rate was 37.80%, adhere to the treatment of 7 to 9 months, the basic cure rate was 66.41%, 10 to 12 months of treatment adherence rate was 71.62%, adhere to the treatment of 7 to 9 There was significant difference between monthly group and 10 ~ 12 months group and insisted treatment for 3 ~ 6 months (P <0.05). Conclusion Comprehensive treatment of children with amblyopia, the effect is positive. The younger the treatment, the less the degree of amblyopia, the longer the treatment, the better the effect. Prompted early detection, adhere to meticulous and rationalized comprehensive treatment is the key to treatment of amblyopia.